Ida Northcutt-Garner, R.N.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

195718 Issued in NC

Practice address

227 N Main St
Troy, NC 27371-3015

Phone

(910) 572-3681

Fax

(910) 572-5579

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandhills Center for MD/DD/Sas

  • Exclusive Provider Organization
  • West End, NC
  • NPI 1952640765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578772489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "1120 SEVEN LAKES DRIVE",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273760009",
            "telephone_number": "910-673-9111",
            "fax_number": "910-673-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713015",
            "telephone_number": "910-572-3681",
            "fax_number": "910-572-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT-GARNER",
        "first_name": "IDA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "195718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Mentor Healthcare, LLC (NC Mentor)
• National Mentor Healthcare, LLC (NC Mentor)
• Dana Bandy Nelson, MA, LPC
• Robert M. Nelson, MA, LPC
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07547)
• Pee Dee Valley Eyecare OD PLLC
• Harold Thurman Pickett, R.N.
• Pinehurst Surgical Clinic PA
• Pinnacle Family Services of North Carolina LLC
• Whitney G Pinson

• Psychiatric/Mental Health Registered Nurse in Troy, NC
• Providers in Troy, NC by specialty
• Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.